Doctor-in prostate cancer i vei thu a hrilh che khan i report-ah ‘Gleason Score’ tih number a awm a, a dik em? Hei hi i hmuh chuan hlauhna tlem i nei tawh mai thei. He number hi eng nge a nih, eng nge a awmzia, score tha nge tha lo tih i ngaihtuah tawh mai thei. Lungngai suh, chutianga i inhriat chu thil pangngai a ni. Vawiin hian he Gleason Score hi eng nge a nih leh a awmzia tak tak chu awlsam takin i hriatthiam theih tur angin kan sawi dawn a ni.
A awlsam zawngin, he Gleason Score hi eng nge ni?
Gleason Score hi scoring system a ni a, prostate cancer classified nan, chu chu a nihna hriatthiamna atan hman a ni. School-a exam-a grade pek ang mai a ni. Mahse heihi erawh a danglam deuh.
I prostate atanga tissue te tak te chu biopsy atan lak a ni tih i hre reng mai thei. Chu tissue chu laboratory-ah microscope hmangin specialist doctor, pathologist tia koh chuan a enfiah leh thin. Cancer cell te chu cell hrisel pangngai nen an inang emaw, an danglam emaw a en thin. He danglamna hi cancer "na nasat dan" emaw, a darh chak dan emaw hriat theihna atan hman a ni.
Chuvangin, he Gleason Score hi thu pawimawh tak a ni a, doctor-te chu i tana enkawlna tha ber thlang turin a pui a, i dinhmun a kal zel dan tur pawh a sawi lawk thei bawk.
Engtin nge Gleason Score hi chhut a nih?
Hei hi ngaihnawm tak maiin tih a ni. Pathologist chuan cancer cell te chu microscope hmanga a en chuan an hmel lan dan azirin 1 atanga 5 thleng score an pe thin.
- Score 1: Cancer cell te hi cell hrisel pangngai nen an inang hle. Cancer vei an nih leh nih loh hriat a har thei hle.
- Score 2-4: Cancer cell te hi cell pangngai nen an danglam tan zauh zauh a.
- Score 5: Cancer cell te hian cell pangngai aiin an hmel danglam tak, chaotic tak an nei a.
Hetiang hian han ngaihtuah teh. Cancer cells hi class pakhata naupang nalh tak tak ang mai an ni. Score 1 tih hian mi nalh deuh mai, mahse a tam zawkah chuan naupang tha tak ang maia lang tihna a ni. Score 5 tih hian class chhunga naupang dangte nena danglam tak, nalh tak, leh thunun harsa tak tihna a ni.
Tunah chuan a pawimawh ber. I prostate-a cancer i neihna hmunah chuan cell te chu a inang vek lo. Hmun thenkhatah chuan cell te hi tlem a tha zawkin a lang thei (low score), hmun thenkhatah chuan cell te hi a danglam hle thei (score sang).
Chuvangin, pathologist chuan cancer darh nasa berna hmun pahnih chu a thlang chhuak thin.
1. Cancer natna vei tamna hmuna cell-te hnena chhinchhiahna pek .
2. Cancer natna vei tamna hmuna cell-te hnena chhinchhiahna pek .
Tichuan heng score pahnih hi an belhkhawm leh ta a ni. Chu sum chu Gleason Score kan tih chu a ni.
Entirnan, cancer vei tamna hmun chu score 4 a nih a, a tam ber pahnihna chu score 3 a nih chuan i Gleason Score chu 4 + 3 = 7 a ni ang.
A tlangpuiin Gleason Score 6 aia sang chu cancer anga ngaih a ni. Cell pattern score 1 leh 2 nei te chu cancer anga ngaih a ni tawh lo. Chuvangin Gleason Score hniam ber i hmuh theih chu 6 (3+3) a ni.
Heng number te hian eng nge a sawi tak tak?
Tunah chuan, "Awle, ka score hi 6, emaw 7 emaw, 8 emaw a ni. Eng nge a awmzia? Chu chu a tha em? Chu chu a chhe em?"
Gleason Score hi "tha" emaw "tha lo" emaw angin kan en lo. Chu ai chuan cancer chu engtiang chiahin nge a lo thang chak emaw, a darh zel theih ang tih ngaihtuahna pe turin kan hmang zawk a ni. Hmun thum ah then ila.
| Gleason Score a ni | Damdawi lam hming | A awlsam zawngin... |
|---|---|---|
| 6. 6. A rilru a hah lutuk chuan a rilru a buai em em a | A danglam bik hle | Cancer cell hi cell hrisel nen an inang hle. Cancer chi khat , a thang zawi hle a, a darh (metastasizing) theihna a tlem hle. |
| 7. 7. A rilru a hah lutuk chuan a rilru a buai em em a | Moderate takin a danglam bik | Cancer cell hi kawng engemaw takah chuan cell hrisel nen an inang a. Cancer chi khat an ni a , a rate a hniam thei hle . (Hetah hian 3+4 nge 4+3 tih pawh a pawimawh). |
| 8, 9, emaw 10 emaw a ni | Inthliarna \ha lo emaw, thliar hran loh emaw | Cancer cell hi cell hrisel nen a danglam hle. An thang chak a, an darh chak zawk.Cancer chi khat. |
Gleason Score "tha" tih hi a awm em?
A tak tak lo. Score hniam (6) chuan cancer chu a lo thang zawi zawi tihna a ni. Chu chu chanchin lawmawm tak a ni. Mahse chu chuan inenkawl a ngai lo tihna erawh a ni lo. Chutiang bawkin score sang (8, 9, 10) chuan cancer hi a lo thang chak hle a rinawm a, chuvangin kan ngaihven zawk a ngai a, aggressive zawka enkawlna pawh kan tan thuai a ngai a ni.
Gleason Score chauh hi a tawk em?
Hetah hian i hriat reng tur chu a awm. I doctor chuan i enkawlna tur ruahmanna siam nan Gleason Score number chauh a en lo. Thlalak lian zawka thil te tak te pakhat chauh a ni. A kimchang hrethiam tur chuan ngaihtuah tur dang tam tak a awm bawk.
A pawimawh ber chu, i Gleason Score chauh hian i dinhmun chanchin kimchang a sawi thei lo. Puzzle pakhat chauh a ni.
Doctor-in a ngaihtuah tur dang thenkhat chu:
- PSA thisen level: I PSA (prostate-specific antigen) thisen test hlutna.
- Digital Rectal Exam: Doctor-in a kut zungtang hmanga enfiah laiin a hriat dan.
- Biopsy atanga thu dang: Tissue chi hrang hrang engzat nge cancer awm tih hmuhchhuah? Tissue pakhatah hian cancer cell engzat nge hmuh?
- Scan: Ultrasound, MRI (magnetic resonance imaging) emaw PET (positron emission tomography) scan ang chi test atanga information lak chhuah.
- Cancer hi a darh tawh em?: Cancer hi prostate gland sir lehlamah a darh tawh em? A nih loh leh gland pawn lama taksa peng dangah a darh tawh bawk.
By putting all this information together , i doctor chuan i cancer stage a ruat ang a, i tan eng treatment option nge tha ber tih a sawipui ang che.
Chuvangin, i Gleason Score chu 7 emaw 8 emaw a nih chuan lungngai suh, i PSA a hniam a ni mai thei, a nih loh leh cancer a darh lo pawh a ni thei. Chuvangin number pakhat atanga thutlukna siamah zuang lut suh. I zawhna leh hlauh zawng zawng chu i doctor nen sawiho rawh. Engkim a hrilhfiah ang che.
Take-Home Thuchah a ni
- Gleason Score hi scoring system a ni a, prostate cancer cell te "danglam" zia tehna a ni a, chu chu an darh chak dan tihna a ni.
- He score hi i biopsy atanga lak chhuah tissue piece pakhat microscope hmanga enfiah hnuah pek thin a ni.
- Score 6 hian cancer a lo thang zawi zawi tih a tarlang. Score 8, 9, leh 10 hian cancer pung chak tak a nih thu a tarlang. Score 7 hian level hniam tak a kawk a ni.
- Thil pawimawh ber: I enkawl dan hi i Gleason Score chauhin a hril lo. Thil dang tam tak, PSA level leh scan report te pawh ngaihtuah tel a ni bawk.
- I report-a number awmte kha hlau suh. Zawhna emaw, ngaihtuahna emaw i neih chuan doctor zawt rawh . Thu chiang ber pe theitu chu amah hi a ni.
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